CA3011728A1 - Diagnostic differentiel du syndrome de cushing ectopique - Google Patents
Diagnostic differentiel du syndrome de cushing ectopique Download PDFInfo
- Publication number
- CA3011728A1 CA3011728A1 CA3011728A CA3011728A CA3011728A1 CA 3011728 A1 CA3011728 A1 CA 3011728A1 CA 3011728 A CA3011728 A CA 3011728A CA 3011728 A CA3011728 A CA 3011728A CA 3011728 A1 CA3011728 A1 CA 3011728A1
- Authority
- CA
- Canada
- Prior art keywords
- acth
- gra
- cortisol
- baseline
- cushing
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Classifications
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/74—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving hormones or other non-cytokine intercellular protein regulatory factors such as growth factors, including receptors to hormones and growth factors
- G01N33/743—Steroid hormones
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/42—Detecting, measuring or recording for evaluating the gastrointestinal, the endocrine or the exocrine systems
- A61B5/4222—Evaluating particular parts, e.g. particular organs
- A61B5/4227—Evaluating particular parts, e.g. particular organs endocrine glands, i.e. thyroid, adrenals, hypothalamic, pituitary
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P5/00—Drugs for disorders of the endocrine system
- A61P5/38—Drugs for disorders of the endocrine system of the suprarenal hormones
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
- G01N33/74—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving hormones or other non-cytokine intercellular protein regulatory factors such as growth factors, including receptors to hormones and growth factors
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
- G16H20/17—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered via infusion or injection
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N2333/00—Assays involving biological materials from specific organisms or of a specific nature
- G01N2333/435—Assays involving biological materials from specific organisms or of a specific nature from animals; from humans
- G01N2333/575—Hormones
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N2333/00—Assays involving biological materials from specific organisms or of a specific nature
- G01N2333/435—Assays involving biological materials from specific organisms or of a specific nature from animals; from humans
- G01N2333/705—Assays involving receptors, cell surface antigens or cell surface determinants
- G01N2333/72—Assays involving receptors, cell surface antigens or cell surface determinants for hormones
- G01N2333/723—Steroid/thyroid hormone superfamily, e.g. GR, EcR, androgen receptor, oestrogen receptor
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N2800/00—Detection or diagnosis of diseases
- G01N2800/04—Endocrine or metabolic disorders
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Molecular Biology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Medical Informatics (AREA)
- Chemical & Material Sciences (AREA)
- Urology & Nephrology (AREA)
- Pathology (AREA)
- Hematology (AREA)
- Immunology (AREA)
- Endocrinology (AREA)
- Medicinal Chemistry (AREA)
- Physics & Mathematics (AREA)
- Primary Health Care (AREA)
- Epidemiology (AREA)
- Biochemistry (AREA)
- General Physics & Mathematics (AREA)
- Analytical Chemistry (AREA)
- Cell Biology (AREA)
- Biotechnology (AREA)
- Food Science & Technology (AREA)
- Microbiology (AREA)
- Veterinary Medicine (AREA)
- Animal Behavior & Ethology (AREA)
- Databases & Information Systems (AREA)
- Data Mining & Analysis (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Surgery (AREA)
- Gastroenterology & Hepatology (AREA)
- Heart & Thoracic Surgery (AREA)
- Biophysics (AREA)
- Physiology (AREA)
- General Chemical & Material Sciences (AREA)
- Chemical Kinetics & Catalysis (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pharmacology & Pharmacy (AREA)
- Organic Chemistry (AREA)
Abstract
La présente invention concerne des procédés et des systèmes pour le diagnostic différentiel du syndrome de Cushing ACTH-dépendant. Les procédés de traitement peuvent utiliser des antagonistes de récepteur de glucocorticoïde, qui affectent de façon différentielle le rapport des taux de cortisol à ACTH chez des patients atteints de la maladie de Cushing par rapport à des patients atteints du syndrome de Cushing ectopique. Des procédés de diagnostic différentiel du syndrome de Cushing ACTH-dépendant peuvent comprendre l'obtention de taux avant traitement de cortisol et d'ACTH d'un patient, le traitement du patient avec un antagoniste de récepteur de glucocorticoïde (GRA) selon un protocole qui, typiquement, élèverait sensiblement les taux de cortisol, l'obtention de taux post-traitement de cortisol et d'ACTH du patient, la détermination d'une relation différentielle entre les taux avant traitement de cortisol et d'ACTH et les taux post-traitement de cortisol et d'ACTH et l'obtention d'un diagnostic positif sur la base de la relation différentielle.
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US201662280424P | 2016-01-19 | 2016-01-19 | |
| US62/280,424 | 2016-01-19 | ||
| PCT/US2017/013974 WO2017127448A1 (fr) | 2016-01-19 | 2017-01-18 | Diagnostic différentiel du syndrome de cushing ectopique |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA3011728A1 true CA3011728A1 (fr) | 2017-07-27 |
Family
ID=59362838
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA3011728A Pending CA3011728A1 (fr) | 2016-01-19 | 2017-01-18 | Diagnostic differentiel du syndrome de cushing ectopique |
Country Status (11)
| Country | Link |
|---|---|
| US (2) | US10151763B2 (fr) |
| EP (1) | EP3405101B1 (fr) |
| JP (1) | JP6765443B2 (fr) |
| KR (1) | KR102197526B1 (fr) |
| AU (1) | AU2017210156B2 (fr) |
| CA (1) | CA3011728A1 (fr) |
| ES (1) | ES2861524T3 (fr) |
| IL (1) | IL260687B (fr) |
| MX (1) | MX2018008849A (fr) |
| SG (1) | SG11201806101SA (fr) |
| WO (1) | WO2017127448A1 (fr) |
Families Citing this family (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CA3011728A1 (fr) | 2016-01-19 | 2017-07-27 | Corcept Therapeutics, Inc. | Diagnostic differentiel du syndrome de cushing ectopique |
| CA3055076C (fr) | 2017-03-31 | 2022-02-22 | Corcept Therapeutics, Inc. | Modulateurs du recepteur de glucocorticoides destines au traitement du cancer du col de l'uterus |
| US11202787B2 (en) | 2018-07-02 | 2021-12-21 | Corcept Therapeutics, Inc. | Use of ACTH in assessment and prophylactic treatment of hypokalemia associated with glucocorticoid receptor modulator treatment of Cushing's syndrome patients |
| US10780097B2 (en) * | 2018-07-02 | 2020-09-22 | Corcept Therapeutics, Inc. | Use of cortisol in assessment and prophylactic treatment of hypokalemia associated with glucocorticoid receptor modulator treatment of Cushing's syndrome patients |
| FI3897589T3 (fi) | 2018-12-19 | 2026-01-13 | Corcept Therapeutics Inc | Farmaseuttisia formulaatioita, jotka sisältävät relakorilanttia, heteroaryyliketonifusoitua atsekaliiniyhdistettä |
| AU2020239920A1 (en) | 2019-03-18 | 2021-11-04 | Arnold L. Newman | Method of improving insulin sensitivity |
| US20230358768A1 (en) * | 2019-12-21 | 2023-11-09 | Corcept Therapeutics Incorporated | Treatment of, and differential diagnosis between, acth-dependent cushing's syndrome and acth-independent cushing's syndrome |
| US11285145B2 (en) | 2020-05-27 | 2022-03-29 | Corcept Therapeutics Incorporated | Concomitant administration of glucocorticoid receptor modulator relacorilant and paclitaxel, a dual substrate of CYP2C8 and CYP3A4 |
| WO2024092195A1 (fr) | 2022-10-28 | 2024-05-02 | Corcept Therapeutics Incorporated | Traitements de la sclérose latérale amyotrophique à l'aide de dazucorilant |
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| US4978657A (en) | 1981-01-09 | 1990-12-18 | Roussel Uclaf | Novel 11β-substituted-19-nor-steroids |
| FR2528434B1 (fr) | 1982-06-11 | 1985-07-19 | Roussel Uclaf | Nouveaux 19-nor steroides substitues en 11b et eventuellement en 2, leur procede de preparation et leur application comme medicament |
| ZA8231B (en) | 1981-01-09 | 1982-11-24 | Roussel Uclaf | New 11 -substituted steroid derivatives, their preparation, their use as medicaments, the compositions containing them and the new intermediates thus obtained |
| FR2522328B1 (fr) | 1982-03-01 | 1986-02-14 | Roussel Uclaf | Nouveaux produits derives de la structure 3-ceto 4,9 19-nor steroides, leur procede de preparation et leur application comme medicaments |
| FR2639045B2 (fr) | 1982-03-01 | 1994-07-29 | Roussel Uclaf | Nouveaux produits derives de la structure 3-ceto-delta-4,9-19-nor steroides et leur application comme medicaments |
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| US5382661A (en) | 1985-09-12 | 1995-01-17 | The Upjohn Company | Pyrazinylpiperazinyl steroids |
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| JP2015159766A (ja) * | 2014-02-27 | 2015-09-07 | 国立大学法人京都大学 | クッシング症候群の検査方法、検査用バイオマーカー及び治療剤 |
| CA3011728A1 (fr) | 2016-01-19 | 2017-07-27 | Corcept Therapeutics, Inc. | Diagnostic differentiel du syndrome de cushing ectopique |
-
2017
- 2017-01-18 CA CA3011728A patent/CA3011728A1/fr active Pending
- 2017-01-18 JP JP2018555855A patent/JP6765443B2/ja not_active Expired - Fee Related
- 2017-01-18 AU AU2017210156A patent/AU2017210156B2/en not_active Ceased
- 2017-01-18 ES ES17741860T patent/ES2861524T3/es active Active
- 2017-01-18 MX MX2018008849A patent/MX2018008849A/es unknown
- 2017-01-18 KR KR1020187023377A patent/KR102197526B1/ko not_active Expired - Fee Related
- 2017-01-18 WO PCT/US2017/013974 patent/WO2017127448A1/fr not_active Ceased
- 2017-01-18 SG SG11201806101SA patent/SG11201806101SA/en unknown
- 2017-01-18 EP EP17741860.5A patent/EP3405101B1/fr not_active Not-in-force
- 2017-06-19 US US15/627,414 patent/US10151763B2/en active Active
-
2018
- 2018-07-19 IL IL260687A patent/IL260687B/en unknown
- 2018-10-12 US US16/158,866 patent/US11327083B2/en active Active
Also Published As
| Publication number | Publication date |
|---|---|
| AU2017210156B2 (en) | 2021-10-28 |
| EP3405101A1 (fr) | 2018-11-28 |
| KR102197526B1 (ko) | 2020-12-31 |
| KR20180096803A (ko) | 2018-08-29 |
| US20180011113A1 (en) | 2018-01-11 |
| IL260687B (en) | 2022-03-01 |
| ES2861524T3 (es) | 2021-10-06 |
| WO2017127448A1 (fr) | 2017-07-27 |
| JP2019503495A (ja) | 2019-02-07 |
| US20190041409A1 (en) | 2019-02-07 |
| EP3405101B1 (fr) | 2020-12-23 |
| EP3405101A4 (fr) | 2019-07-24 |
| AU2017210156A1 (en) | 2018-09-06 |
| US11327083B2 (en) | 2022-05-10 |
| JP6765443B2 (ja) | 2020-10-07 |
| US10151763B2 (en) | 2018-12-11 |
| SG11201806101SA (en) | 2018-08-30 |
| MX2018008849A (es) | 2019-01-31 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| EEER | Examination request |
Effective date: 20220118 |